Active NPI
Aleksandar Perovic, M.D.
- Specialist
- Cedarhurst, NY
National Provider Identifier
1457572059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 176255
- Practice address
- 657 Central Ave
Suite 205
Cedarhurst, NY 11516 - Phone
- (718) 318-8030
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 176255 | NY | Primary |
Addresses
Primary practice location
657 Central Ave
Suite 205
Cedarhurst, NY 11516
Mailing address
657 Central Ave
Suite 205
Cedarhurst, NY 11516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176255 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire, Inc. | Past | Accepting new patients | |
| Lifespire, Inc. | Past | Accepting new patients | |
| Empress Ambulance Service LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Yonkers, NY
- NPI 1003878596
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
-
- Clinic/Center
- New York, NY
- NPI 1497709166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1457572059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 CENTRAL AVE",
"address_2": "SUITE 205",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "11516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 CENTRAL AVE",
"address_2": "SUITE 205",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "11516",
"telephone_number": "718-318-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROVIC",
"first_name": "ALEKSANDAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "176255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.